Artificial intelligence-based expert trajectory guidance in an ex vivo robot-assisted renal wound suturing training model - Report - MDSpire

Artificial intelligence-based expert trajectory guidance in an ex vivo robot-assisted renal wound suturing training model

  • By

  • Tailai Zhou

  • Tongyu Jia

  • Shangwei Li

  • Jiachen Zheng

  • Haotian Hou

  • Houming Zhao

  • Jichen Wang

  • Ji Feng

  • Xin Ma

  • July 2, 2026

  • 0 min

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Clinical Report: AI-Driven Expert Guidance for Suturing Training in Surgery

Overview

This study evaluates an AI framework that learns expert suturing trajectories from surgical videos to provide real-time guidance for novice trainees in renal wound suturing.

Background

Suturing is a critical yet challenging component of robot-assisted surgeries, requiring high levels of skill and precision. Traditional training methods often necessitate extensive practice under expert supervision, which can be resource-intensive. The integration of artificial intelligence in surgical training presents a novel approach.

Data Highlights

MetricValue
Average Displacement Error34.25 pixels
Final Displacement Error52.54 pixels
Inference Latency32.7 ms
Annotated Frames18,515
Complete Suturing Actions806
Valid Trajectory Samples24,897

Key Findings

  • The AI model achieved an average displacement error of 34.25 pixels in trajectory prediction.
  • In a pilot study, novice trainees with AI guidance outperformed unguided trainees in six of eight performance measures.
  • The model demonstrated a final displacement error of 52.54 pixels under test conditions.
  • AI guidance provided an end-to-end inference latency of 32.7 ms.
  • The dataset used for training included 18,515 annotated frames and 806 complete suturing actions.

Clinical Implications

Further studies are needed to assess long-term retention of skills and clinical applicability.

Conclusion

Further investigation through larger multicenter trials is warranted.

Related Resources & Content

  1. Int. Journal of Computer Assisted Radiology and Surgery, 2026 -- Nail It! A learning framework for autonomous surgical suturing and teleoperation on the dVRK
  2. conexiant, 2023 -- What AI Can (and Can’t) Do in Surgery Training
  3. Int. Journal of Computer Assisted Radiology and Surgery, 2026 -- VR-based automated suturing skill assessment in pediatric robotic surgery
  4. Automated Evaluation of Surgical Proficiency Through Recognition of Dissection and Exposure Durations in Robot-Assisted Radical Prostatectomy, 2024
  5. EAU Guidelines on Renal Cell Carcinoma, 2026 -- Full Guideline
  6. https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Renal-Cell-Carcinoma-2026.pdf
  7. Trifecta achievement in patients undergoing partial nephrectomy: a systematic review and meta-analysis of predictive factors - PMC

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